Media Release & Content Consent

Ganjier Guild Ecosystem · Communications

Form S

Media Release & Content Consent

Final Public · Participant-facing

Purpose. Obtains and documents participant consent for recording, photography, streaming, and content use.

Applicability. Used at in-person events, virtual events, educational sessions, and other ecosystem activities where recording or photography may occur.

# Form S — Media Release & Content Consent Participant Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date of Event / Session: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Event / Session Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Location / Platform: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ## Section 1 — Nature of Media Activity The following media activities may occur at this event or session: ☐ Audio and/or video recording ☐ Photography ☐ Live streaming ☐ Replay recording ☐ Educational reuse ☐ Social media publication ☐ Other: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ## Section 2 — Consent By signing below, I grant the Ganjier Guild ecosystem (including The Ganjier Guild, Smoke & Oakum LLC, and The Guild Collective as applicable) permission to record, photograph, and/or live-stream my participation and to publish recordings, photographs, and content excerpts in connection with ecosystem educational programming, community communications, social media, and promotional materials. ☐ This consent is voluntary. ☐ I understand I may opt out by notifying the event organizer before the session. ☐ Published content will be attributed to my name and role unless I request anonymous treatment in writing. ## Section 3 — Opt-Out Request (Optional) I wish to opt out of: ☐ Recording ☐ Photography ☐ Live streaming ☐ Publication of my image or voice
### Participant Signature
Participant signature
Printed name
Date
### Event Organizer Acknowledgment
Event organizer signature
Role
Date